Healthcare Provider Details

I. General information

NPI: 1851689350
Provider Name (Legal Business Name): ASHLEY SALOMON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11695 NATIONAL BLVD
LOS ANGELES CA
90064-3801
US

IV. Provider business mailing address

11695 NATIONAL BLVD
LOS ANGELES CA
90064-3801
US

V. Phone/Fax

Practice location:
  • Phone: 310-914-3400
  • Fax: 424-293-8901
Mailing address:
  • Phone: 310-914-3400
  • Fax: 424-293-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberA133143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: